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Wyoming rates for HCPCS L6883

Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.52 / $1,028.52 / $1,801.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,008.83 / $2,008.83 / $2,008.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.83 / $2,008.83 / $2,008.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.30 / $1,551.30 / $2,731.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.45 / $1,132.45 / $1,551.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.81 / $1,266.94 / $1,464.24